Evidence map›Paper›PMID 37006474›Full record

ArticleFrontiers in neurology2023

Microvascular cerebral blood flow response to intrathecal nicardipine is associated with delayed cerebral ischemia.

Eashani Sathialingam, Kyle R Cowdrick, Amanda Y Liew, Zhou Fang, Seung Yup Lee, Courtney E McCracken, Feras Akbik, Owen B Samuels, Prem Kandiah, Ofer Sadan and 1 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in neurology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.7field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 13 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 1 country.

Eashani SathialingamWallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology, Emory University, Atlanta, GA, United States.
Kyle R CowdrickWallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology, Emory University, Atlanta, GA, United States.
Amanda Y LiewWallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology, Emory University, Atlanta, GA, United States.
Zhou FangWallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology, Emory University, Atlanta, GA, United States.
Seung Yup LeeWallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology, Emory University, Atlanta, GA, United States.
Courtney E McCrackenCenter for Research and Evaluation, Kaiser Permanente Georgia, Atlanta, GA, United States.
Feras AkbikDivision of Neurocritical Care, Department of Neurology and Neurosurgery, Emory University School of Medicine, Atlanta, GA, United States.
Owen B SamuelsDivision of Neurocritical Care, Department of Neurology and Neurosurgery, Emory University School of Medicine, Atlanta, GA, United States.
Prem KandiahDivision of Neurocritical Care, Department of Neurology and Neurosurgery, Emory University School of Medicine, Atlanta, GA, United States.
Ofer SadanDivision of Neurocritical Care, Department of Neurology and Neurosurgery, Emory University School of Medicine, Atlanta, GA, United States.
Erin M BuckleyWallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology, Emory University, Atlanta, GA, United States.
Emory University · USGeorgia Institute of Technology · USThe Wallace H. Coulter Department of Biomedical Engineering · USKaiser Permanente · US

Funding

Implementing a Maternal health and PRegnancy Outcomes Vision for Everyone (IMPROVE)UL1TR002378 · NCATS · EMORY UNIVERSITY · PI Andres J Garcia, Elizabeth O. Ofili · 2017 to 2026
$92.1M
Development of Biomarkers to Optimize Intrathecal Nicardipine Treatment for Cerebral Vasospasm and Delayed Cerebral Ischemia after Subarachnoid HemorrhageR01NS130036 · NINDS · EMORY UNIVERSITY · PI Ofer Sadan · 2022 to 2026
$2.0M
Microvascular Cerebral Blood Flow Monitoring with Diffuse Correlation Spectroscopy in Sickle Cell Anemia ChildrenF31HL154703 · NHLBI · EMORY UNIVERSITY · PI SATHIALINGAM, EASHANI · 2021 to 2022
$65k
NCATS NIH HHS UL1 TR002378NHLBI NIH HHS F31 HL154703NINDS NIH HHS R01 NS130036
6 · The paper itself

Abstract

One of the common complications of non-traumatic subarachnoid hemorrhage (SAH) is delayed cerebral ischemia (DCI). Intrathecal (IT) administration of nicardipine, a calcium channel blocker (CCB), upon detection of large-artery cerebral vasospasm holds promise as a treatment that reduces the incidence of DCI. In this observational study, we prospectively employed a non-invasive optical modality called diffuse correlation spectroscopy (DCS) to quantify the acute microvascular cerebral blood flow (CBF) response to IT nicardipine (up to 90 min) in 20 patients with medium-high grade non-traumatic SAH. On average, CBF increased significantly with time post-administration. However, the CBF response was heterogeneous across subjects. A latent class mixture model was able to classify 19 out of 20 patients into two distinct classes of CBF response: patients in Class 1 (

Indexed as

blood flowdiffuse correlation spectroscopynicardipinesubarachnoid hemorrhagevasospasm

Identifiers

PMID37006474
PMCPMC10064128
OpenAlexW4327699244

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.